Abstract
Objectives: Burnout is of international concern among social workers, and recently moral distress (MD) has been identified among this professional group. Little is known about how burnout and MD experiences differ between social workers serving children and families (CF) and social workers in other domains. Less is known about the potential relationship between burnout and MD across these subgroups of social workers.
Methods: This brief report examines if the levels of, and associations, between MD and burnout differ between a sample of Finnish CF social workers (n = 199) compared social workers in other domains (n = 168).
Results: Based on multivariate analyses of covariance and hierarchical regression analyses, we found that working with children and families did not moderate the associations between MD and burnout. However, working with children and families was associated with higher levels of exhaustion, MD frequency, and distress. MD frequency and MD distress were also both significant predictors of burnout among the sample of social workers. CF social workers had higher levels of exhaustion compared to the other social workers.
Implications: MD may be an important factor influencing the wellbeing of CF social workers. Organizations employing CF social workers are encouraged to investigate potential sources of MD and set workplace policies to reduce risks. More research examining causes of, and identifying effective remedies to, MD is warranted.
References
American Psychological Association. (2022). Distress. APA Dictionary of Psychology. https://dictionary.apa.org/distress
Anderson, D. (2000). Coping strategies and burnout among veteran child protection workers. Child Abuse & Neglect, 24(6), 839-848. https://doi.org/10.1016/S0145-2134(00)00143-5
Brend, D. (2020). Residential childcare workers in child welfare and moral distress. Children and Youth Services Review, 119, Article 105621. https://doi.org/https://doi.org/10.1016/j.childyouth.2020.105621
Brown, A., Walters, J., & Jones, A. (2019). Pathways to retention: Job satisfaction, burnout, & organizational commitment among social workers. Journal of Evidence-Based Social Work, 16(6), 577-594. https://doi.org/10.1080/26408066.2019.1658006
Dalmolin, G. deL., Lunardi, V. L., Lunardi, G. L., Barlem, E. L., & da Silveira, R. S. (2014). Moral distress and burnout syndrome: Are there relationships between these phenomena in nursing workers? Revista latino-americana de enfermagem, 22(1), 35-42. https://doi.org/10.1590/0104-1169.3102.2393
Dzeng, E., & Wachter, R. (2020). Ethics in conflict: Moral distress as a root cause of burnout. Journal of General Internal Medicine, 35(2), 409-411. https://doi.org/10.1007/s11606-019-05505-6
Feldt, T., Rantanen, J., Hyvönen, K., Mäkikangas, A., Huhtala, M., Pihlajasaari, P., & Kinnunen, U. (2014). The 9-item Bergen Burnout Inventory: Factorial validity across organizations and measurements of longitudinal data. Industrial Health, 52(2), 102-112. https://doi.org/10.2486/indhealth.2013-0059
Fong, T., Ho, R., & Fong, J. (2022). Temporal relationships among role stress, staff burnout, and residents’ behavioral problems: A 2-year longitudinal study in child care homes in Hong Kong. PLOS ONE, 17(7), e0270464. https://doi.org/10.1371/journal.pone.0270464
Fumis, R., Junqueira Amarante, G., de Fátima Nascimento, A., & Vieira Junior, J. (2017). Moral distress and its contribution to the development of burnout syndrome among critical care providers. Annals of Intensive Care, 7(1), 1-8. https://doi.org/10.1186/s13613-017-0293-2
Hamama, L. (2012). Burnout in social workers treating children as related to demographic characteristics, work environment, and social support. Social Work Research, 36(2), 113-125. https://doi.org/10.1093/swr/svs003
Kim, H., & Kao, D. (2014). A meta-analysis of turnover intention predictors among U.S. child welfare workers. Children and Youth Services Review, 47(3), 214-223. https://doi.org/10.1016/j.childyouth.2014.09.015
Mänttäri-van der Kuip, M. (2016). Moral distress among social workers: The role of insufficient resources. International Journal of Social Welfare, 25(1), 86-97. https://doi.org/10.1111/ijsw.12163
Mänttäri-van der Kuip, M., & Brend, D. (2021). Moral Distress Instrument (MDI).
Maslach, C., & Leiter, M. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. https://doi.org/https://doi.org/10.1002/wps.20311
Matthiesen, S., & Dyregrov, A. (1992). Empirical validation of the Bergen Burnout Indicator. International Journal of Psychology, 27(3-4), 497-497.
Mor Barak, M., Nissly, J., & Levin, A. (2001). Antecedents to retention and turnover among child welfare, social work, and other human service employees: What can we learn from past research? A review and metanalysis. Social Service Review, 75(4), 625-661. https://doi.org/10.1086/323166
Morley, G., Ives, J., Bradbury-Jones, C., & Irvine, F. (2019). What is 'moral distress'? A narrative synthesis of the literature. Nursing Ethics, 26(3), 646-662. https://doi.org/10.1177/0969733017724354
Salmela-Aro, K., Rantanen, J., Hyvönen, K., Tilleman, K., & Feldt, T. (2011). Bergen Burnout Inventory: Reliability and validity among Finnish and Estonian managers. International Archives of Occupational and Environmental Health, 84(6), 635-645. https://doi.org/10.1007/s00420-010-0594-3
Sochos, A., & Aljasas, N. (2021). The role of child-keyworker attachment in burnout among Saudi residential staff. International Journal of Psychology, 56(2), 228-237. https://doi.org/10.1002/ijop.12692
Sprang, G., Craig, C., & Clark, J. (2011). Secondary traumatic stress and burnout in child welfare workers: A comparative analysis of occupational distress across professional groups. Child Welfare, 90(6), 149-168. https://pubmed.ncbi.nlm.nih.gov/22533047/